Kodi mudamvapo za "dzenje mumtima"? Mwina dokotala wanu anakuuzani za izi. Ndipotu, tonsefe tili ndi dzenje laling'ono ngati ili mumtima mwathu tikakhala m'mimba. Ndi chinthu chofunikira panthawiyo. Koma munthu akabadwa, dzenje ili nthawi zambiri limatseka lokha. Koma mwa anthu ena, dzenje ili limakhalabe losatseka kwathunthu. Mwachidule, timalitcha kuti Patent Foramen Ovale, kapena `(PFO)`. Ili ndi vuto lofala lomwe munthu m'modzi mwa anayi aliwonse ali nalo. Kwa anthu ambiri, izi sizimayambitsa mavuto. Komabe, kwa anthu ena, zimatha kuyambitsa mavuto. Pamenepo ndi pomwe timalankhula za chithandizo `(PFO Closure)`.
Mwachidule, kodi kutsekedwa kwa PFO n'chiyani?
Kutseka kwa PFO ndi opaleshoni yaying'ono yotsekera kosatha dzenje laling'ono (PFO) pakati pa zipinda ziwiri zapamwamba (atria) za mtima wanu. Komabe, sikufuna kudula kwakukulu. Dokotala amaika chubu chopyapyala kwambiri, chosinthasintha, chotchedwa ``catheter'', mumtima mwanu kudzera mtsempha waukulu wamagazi kwinakwake m'thupi lanu.
Kudzera mu chubu ichi, chipangizo chaching'ono, chopangidwa mwapadera chimalowetsedwa mu dzenje lomwe lili mumtima ndikutsekedwa. Taganizirani chipangizochi ngati yo-yo yaying'ono, kapena batani laling'ono lokhala ndi mabwalo awiri mbali zonse ziwiri. Bwalo limodzi limaphimba mbali imodzi ya dzenjelo, ndipo bwalo lina limaphimba mbali inayo.
Pakatha masiku ochepa kuchokera pamene chipangizocho chayikidwa, minofu ya thupi lanu imayamba kukula mozungulira icho. Pakatha miyezi itatu kapena isanu ndi umodzi, chipangizocho chimaphimbidwa ndi minofu ya mtima, kukhala gawo la khoma la mtima.
Komabe, tiyerekeze kuti PFO yanu ndi yayikulu kuposa mamilimita 25. Zikatero, dokotala wanu angasankhe kuchita opaleshoni yotseguka m'malo mwa njira iyi ya `(Catheter)`. Komabe, zochitika zotere sizimachitika kawirikawiri.
Ndi nthawi ziti pamene chithandizochi chimafunika?
Anthu ambiri omwe ali ndi PFO safuna chithandizo chilichonse. Komabe, nthawi zina, makamaka ngati magazi oundana amatha kudutsa m'bowo kupita ku ubongo ndikuyambitsa mavuto, dokotala angalimbikitse chithandizochi.
| Nthawi Yomwe Chithandizo cha Kutseka kwa PFO Chingalimbikitsidwe | |
|---|---|
| Stroke ya Cryptogenic | Makamaka ngati wachinyamata wakhala ndi sitiroko kangapo ngati iyi. |
| Kuukira kwa Ischemic kwa Nthawi Yochepa (TIA) | Izi zili ngati mini-stroke. Ngati izi zichitika mobwerezabwereza. |
| Kuchepa kwa mpweya m'magazi | Nthawi zina, PFO ingayambitse kuchepa kwa mpweya m'magazi. |
| Mutu wopweteka kwambiri | Pali umboni wakuti PFO imagwirizana ndi matenda ena aakulu a mutu waching'alang'ala. |
| Kuundana kwa magazi kumayenda | Ngati magazi oundana adutsa mu PFO ndipo apita ku gawo lina la thupi. |
Kodi mumakonzekera bwanji musanalandire chithandizo?
Muyenera kuyesedwa kangapo musanalandire chithandizochi.
- X-ray pachifuwa
- Kujambula mtima (Echocardiogram)
- Mayeso a ECG (Electrocardiogram)
- Mayeso angapo a magazi
Kuphatikiza apo, mudzauzidwa kuti muyambe kumwa mankhwala monga aspirin ndi clopidogrel kuti mupewe kuundana kwa magazi. Dokotala wanu adzakuuzani tsiku lenileni lomwe muyenera kuyamba kumwa mankhwalawa. Pa nthawi ya chithandizo, mudzapatsidwanso mankhwala ena oletsa kuundana kwa magazi.
Momwe chithandizochi chimagwirira ntchito pang'onopang'ono
Chithandizochi nthawi zambiri chimatenga ola limodzi kapena awiri. Izi ndi zomwe zimachitika chikachitika:
1. Kusamva Chisoni: Choyamba, mankhwala oletsa kupweteka amaperekedwa kuti athetse dzanzi m'chifuwa momwe katheta idzayikidwira. Nthawi zina, mankhwala oletsa kupweteka angagwiritsidwe ntchito ngati pakufunika kutero.
2. Kucheka pang'ono: Kucheka pang'ono kwambiri kumachitika m'malo olumikizirana mafupa.
3. Kuika catheter: Catheter imayikidwa mu mtsempha waukulu wamagazi kudzera mu chotupacho.
4. Kusunthira kumtima: Kenako, catheter imasunthidwa mosamala kwambiri kupita kumtima.
5. Kujambula: Utoto wapadera umalowetsedwa mumtima kuti uwonekere bwino ndipo zithunzi za X-ray zimatengedwa (Angiography). Komanso, scan ya mkati mwa mtima (Ultrasound) imagwiritsidwa ntchito poyesa kukula kwenikweni kwa PFO.
6. Yesani dzenje:Katheta yokhala ndi baluni yapadera imayikidwa, imadzazidwa mpweya, ndipo kukula kwenikweni kwa dzenje kumayesedwa.
7. Kuyika chipangizocho: Tsopano chipangizo chotseka cha PFO chimadutsa mu catheter kupita mumtima ndikuchimangirira m'mbali kuti chitseke dzenjelo.
8. Kutsimikizira malo: Kujambula kwina (Transthoracic Echocardiogram) kumachitika kuti muwone ngati chipangizocho chili pamalo ake.
9. Kumaliza: Ngati zonse zili bwino, catheter imachotsedwa mosamala.
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Mukamaliza kulandira chithandizo, muyenera kupuma pabedi kwa maola pafupifupi 6. Mwina mudzatha kupita kunyumba madzulo omwewo kapena m'mawa wotsatira. Nazi zinthu zina zomwe muyenera kukumbukira mukapita kunyumba:
- Mukhoza kuyenda, koma musayende mwachangu.
- Musayendetse galimoto kwa masiku awiri.
- Musanyamule kulemera kopitirira makilogalamu 4.5 (pafupifupi makilogalamu 4.5) kwa sabata imodzi.
- Musachite masewera olimbitsa thupi otopetsa kwa mwezi umodzi.
- Nthawi zambiri mumatha kubwerera ku zochita zanu zachizolowezi mkati mwa sabata imodzi. Komabe , ndikofunikira kukambirana zonsezi ndi dokotala wanu ndikutsatira malangizo ake.
Mudzapatsidwa mankhwala oti mugwiritse ntchito kunyumba. Muyenera kumwa aspirin kapena mankhwala ena ochepetsa magazi tsiku lililonse kwa miyezi 6 kapena kuposerapo. Mudzauzidwa kuti mumwe mankhwala opha mabakiteriya musanayambe njira zina zachipatala, monga kutsuka mano. Dokotala wanu adzakufotokozerani zonsezi.
Kodi ubwino ndi zoopsa zake ndi ziti?
Ubwino
- Zingathe kuletsa sitiroko mtsogolo zomwe sizingapezeke chifukwa chake.
- Simudzamva chipangizochi m'thupi lanu.
- Sizidzasiya chilonda chachikulu.
- Zipangizo zomwe chipangizochi chimagwiritsa ntchito zatsimikiziridwa kwa nthawi yaitali kuti ndi zotetezeka kwambiri.
Zoopsa
Chithandizochi chimakhala chotetezeka kwambiri chikachitidwa ndi dokotala wodziwa bwino ntchito, koma monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zina.
- Kugunda kwa mtima kosazolowereka (Atrial Fibrillation).
- Magazi amaundana.
- Kutuluka magazi kapena matenda pamalo omwe pali catheter.
- Chipangizocho chimasuntha kuchokera pamalo ake oyika (izi zimachitika kawirikawiri).
- Anthu opitirira zaka 60 ali ndi mwayi wochepa wokhala ndi mavuto.
Ngati mukukumana ndi zizindikiro zachilendo, monga kutupa, kupweteka kwambiri, kutuluka magazi, kapena kutentha thupi pamalo obayira catheter, muyenera kudziwitsa dokotala wanu nthawi yomweyo .
Uthenga Wopita Nawo Kunyumba
- PFO ndi dzenje laling'ono mumtima lomwe anthu ambiri ali nalo ndipo nthawi zambiri silikhala loopsa.
- Chithandizo cha PFO Closure ichi chimangochitika kuti chipewe mavuto enaake monga sitiroko.
- Imeneyi ndi njira yotetezeka yochiritsira yomwe siifuna kudula kwakukulu ndipo nthawi zambiri imachitidwa kudzera mu catheter.
- Pambuyo pa chithandizo, ndikofunikira kwambiri kumwa mankhwala omwe dokotala wakupatsani pa nthawi yake, m'njira yomwe mwalangizidwa, komanso kutsatira malangizo ake.
- Musanasankhe ngati chithandizochi chili choyenera kwa inu, lankhulani ndi dokotala wanu mosamala, mvetsetsani zabwino ndi zoyipa zake, ndipo pangani chisankho chomwe nonse awiri mukugwirizana nacho.
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